| NPI | 1851789275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209012365) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041395490) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2020-11-10 |